Individual
ELIJAH LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-428 MOKUOLA ST STE 214A, WAIPAHU, HI 96797-3396
(808) 944-2882
Mailing address
45-389 KANEOHE BAY DR, KANEOHE, HI 96744-2250
(310) 702-8508
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
09/14/2023
Last updated
04/01/2024
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